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From Pilot to Process – Implementing Blockchain into the
Episode and Economics of Care - Part 2
Session BC5, Blockchain Symposium
• Jim St.Clair, CTO, The Dinocrates Group LLC (Moderator)
• Anthony Begando, CEO, Professional Credentials Exchange LLC
• Robert Chu, Founder, Embleema
• Pradeep Goel, Chief Executive Officer, Solve.Care Foundation
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Neither the Moderator nor panelists have real or apparent conflicts
of interest to report.
Conflict of Interest
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• While there is no shortage of blockchain use cases for healthcare,
working applications, pilots and deployments are still hard to find.
This session look past whitepapers to projects that are actively
being piloted or deployed - real word use cases.
• To truly fulfill the idea of blockchain as a force for change, we
need to see solutions that could not have exist in a world without
it.
• This session will give the stage to companies who have embraced
this new technology and are using it to change a broken system.
Agenda
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• Outline a systemic healthcare problem and present a new solution
• Discuss why blockchain is core to the solution
• Provide an overview of a future state and how things will be
different with widespread adoption
• Outline some of the design/platform decisions made and
challenges overcome
Learning Objectives
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Anthony Begando, CEO, Professional
Credentials Exchange LLC
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• Mandated, perpetual process to confirm clinical
competency of healthcare professionals
• Must be performed by any organization
delivering or paying for patient care
• Applies to virtually all 13.6 million care delivery
personnel
• Physician / Hospital / Payer Use Case
o 4 - 6+ month process
o Costs $300 - $1,500+ / episode
o $7,500 daily net revenue forfeitures*
o 200MM+ annual artifact transactions
• Payers spending $2.2BN annually to maintain
provider data
The Credentialing Problem
* Source: Merritt Hawkins 2016 Inpatient/Outpatient Revenue Survey
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• We are developing the Professional Credentials
Exchange (ProCredEx) as a marketplace for
verified professional identity and credentials
information
• Goals:
Connect disparate sources and consumers of
verified credential information across the
industry
Substantially reduce the effort, cost,
redundancy, and complexity of clinical
credentialing practices
Create incentives for market constituents for
collaboration and information sharing
Capture and monetize the value associated
with gathering and verifying this data
• Automates existing network of transactional
counterparties
Our Solution
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• Reduced Onboarding Cycle Time
• Simplified Practitioner
Engagement
• Significant Reduction in Revenue
Forfeitures
• Lowered Administrative Costs
• Monetization of Digital Assets
• Continuous Maintenance &
Risk Mitigation
• Occupationally Agnostic
Value Proposition
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Simplifying Complexity
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• Confirms the origin, data, and history of an asset
with exceptionally high reliability
• Moves trust to the software and disambiguates
centralized control of information
• Maturing into purpose-built, enterprise level
solutions
– Generation 1 -- BitCoin
– Generation 2 – Ethereum, Hyperledger et al.
– Generation 3 – R3/Corda, Digital Asset
• Practitioner identity and credentialing represent
an ideal early adoption use case for the industry
Why Blockchain / DLT?
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• Privacy
– Transactions must be visible only between authorized
counterparties
– Participants must control access to their data
• Security
– HIPAA / HITECH
• Performance
– Must support significant, market-level throughput
• Tokenization vs. Fiat Currency Transactions
– Market leery of crypto-based business models
DLT Considerations
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Alexis Normand, Head of Embleema
Consortium
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Pradeep Goel, Chief Executive Officer, Solve.Care
Foundation
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Care.Wallet- personalized healthcare
Care.Wallet
Personal benefits and administrative wallet
Care.Card
Decentralized benefits app that link and sync across wallets
Care.Coin
Programmable benefit currency issued by network sponsor
Care.Protocol
Maps all healthcare relationships into protocol pairs
Care.Vault
Security, access and control over data
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Large scale deployment
ACN Care Administration
Network
PROVIDER
CARE.WALLET
5,500+ Physicians
BILLING
PAYMENTS
REFERRALS
REWARDS
MEMBER
CARE.WALLET
250,000+ Members
HAYFT
PAYMENTS
REWARDS
SCHEDULING
ACCESS
CARE.COINS
GOVERNANCE
REPORTS
ADMIN
CARE.WALLET
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Use case: Payments
Value based payments
• Real time payments
• Automatic reconciliation
• At will redemption
• Eliminate collections
• Close the loop between patient-provider-payer
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Use case: How are you feeling today
• Care.Ledger holds patient, clinical and wellness
data
• All care events become a part of the
Care.Ledger
• Innovative approach to care coordination &
chronic diseases
• Allows sharing with doctor, family and friends,
and others
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Use case: Prescription management
Care.Ledger
Patie nt
Pharm ac eu tical
company
Doc to r
Allows to share and manage orders, refills, dosage,
drug interactions, formulations and share prescription
journey with doctor, specialist, and family
Pharm ac y
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Questions?
